Organization
COVINGTON FAMILY CARE AND SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI YVONNE ACKER MD (PRACTICE ADMINISTRATOR)
(404) 284-7744
Entity
Organization
Contact information
Practice address
3546 COVINGTON HWY, SUITE C, DECATUR, GA 30032-1823
(404) 284-7744
(404) 284-8006
Mailing address
3546 COVINGTON HWY, SUITE C, DECATUR, GA 30032-1823
(404) 284-7744
(404) 284-8006
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
044791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000778016C
—
GA
01
—
610247700
OWCP-DCMWC
GA
Enumeration date
01/18/2007
Last updated
12/07/2011
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